Bryan W Cadicamo, LCSWR
Individual provider Active NPI Clinical Social Worker · Wappingers Falls, NY
NPI 1447572300 · NPPES record last updated May 9, 2024
Key facts
- NPI
- 1447572300
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R053526 (NY)
- Practice address
- 1285 Route 9
Ste 7
Wappingers Falls, NY 12590-4993 - Phone
- (845) 240-6204
- NPI assigned
- Feb 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1285 Route 9
Wappingers Falls, NY 12590-4993
Phone (845) 240-6204
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040430000393 | NY | Practitioner - Clinical Social Worker | 7719974633 | Practice locations: Wappingers Falls, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R053526 | NY | MD | Clinical Social Worker |
| 053526 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Dutchess Psychiatric Consultation PLLC | Current |
Accepting new patients |
Locations
1285 Route 9
Ste 7
Wappingers Fl, NY 12590
Phone (845) 240-6204
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R053526 | NY | Yes |
Addresses
Primary practice location
1285 Route 9
Ste 7
Wappingers Falls, NY 12590-4993
Mailing address
1285 Route 9 Ste 7
Wappingers Falls, NY 12590-4993
Phone (845) 240-6204
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447572300 | Medicaid | NY |
Other providers in Wappingers Falls, NY
- Mary Ellen Burns
- CJ Burris
- Donna Butler
- Jamie Byrne
- Joann Marie Caban
- Adam Cagliuso
- Debbie Ann Cahill
- Jonelle Calle
- Isabella Camacho
- Domenique Camilleri
All providers in Wappingers Falls, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.